Utilization Review RN
Location
Mission Hills, CA
Job Type
Full-time
Category
other-general
Posted
May 27, 2026
**Description**
Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
**Required Qualifications:**
+ Nursing school graduate.
+ Upon hire: California Registered Nurse License
+ 3 years of experience in utilization management and/or case management.
+ 3 years of Clinical experience in hospital or medical office/clinic setting.
+ Experience with Milliman criteria.
**Preferred Qualifications:**
+ Bachel...
Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
**Required Qualifications:**
+ Nursing school graduate.
+ Upon hire: California Registered Nurse License
+ 3 years of experience in utilization management and/or case management.
+ 3 years of Clinical experience in hospital or medical office/clinic setting.
+ Experience with Milliman criteria.
**Preferred Qualifications:**
+ Bachel...